Individual provider Active NPI

Kayla Alessandria Pilato

  • Peer Specialist
  • Madison Heights, MI
National Provider Identifier
1376329599
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
28303 Dequindre Rd Ste 100
Madison Heights, MI 48071-3040
Phone
(248) 658-1116
NPI assigned
Sep 4, 2023
Last updated
Sep 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MI Primary

Addresses

Primary practice location

28303 Dequindre Rd Ste 100
Madison Heights, MI 48071-3040

Mailing address

26671 Pattow St
Roseville, MI 48066-3545
Phone (586) 703-6872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1376329599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26671 PATTOW ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663545",
            "telephone_number": "586-703-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28303 DEQUINDRE RD STE 100",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713040",
            "telephone_number": "248-658-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILATO",
        "first_name": "KAYLA",
        "middle_name": "ALESSANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.